Osteochondritis dissecans may be caused by restricted blood supply to the end of the affected bone that usually occurs in conjunction with repetitive trauma. Surgery for osteochondritis dissecans involves removing the bone chip and drilling small holes in the injured bone. The type of surgery needed will depend on the stage and size of the injury. We do not endorse non-Cleveland Clinic products or services. Osteochondritis dissecans is best diagnosed with imaging studies. Osteochondritis dissecans is a painful joint problem. Osteochondritis Dissecans is a condition where loose fragments of bone and cartilage break off the end of a bone when the blood supply to the bone is reduced. Osteochondritis dissecans of the talus is a subset of osteochondral lesions of the talus that also includes osteochondral fractures, avascular necrosis, and degenerative arthritis. Osteochondritis dissecans usually develops in just one joint. Because of the mutation, the protein cannot build cartilage like it should, so the cartilage is weak and disorganized. Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. This website is a paid advertisement for participating healthcare providers and medical organizations. However, it’s uncertain how the weak and disorganized cartilage results in bone separation and lesions. Pain, weakness and/or swelling in a joint, often after physical or athletic activity; Decreased range of motion (the distance a joint normally moves), including an inability to fully extend the arm or leg. 17,38,40 While conservative (nonoperative) treatment is often utilized for early stage or stable lesions, lesions that fail to heal, appear unstable by magnetic resonance imaging (MRI), or coincide with the presence of loose bodies may require surgical intervention. It most commonly heals by itself, but in adults, or adolescents over the age of 14, it seems more likely to break off than to heal. Michael JW, Wurth A, Eysel P, König DP. 2016 Mar. OCD is most common in the knee joint, but it can happen in other joints such as the elbow and ankle. This softening is caused by an interruption in the blood flow to that portion of bone. Surgery. Surgical intervention for osteochondritis dissecans (OCD) has long been recognized as an important aspect of the treatment algorithm. Copyright © 2020 Vita Optimus, L.L.C.. All Rights Reserved. Rarely, osteochondritis dissecans appears in more than one joint, and perhaps in more than one family member (familial osteochondritis dissecans). This can occur in any joint, although it is most common in the knee, followed by the ankle, elbow, and shoulder. What is Osteochondritis Dissecans? The condition can be mild, moderate, or severe. Do not rely on this website to diagnose or treat any medical condition. CORONAVIRUS: DELAYS FOR ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING. Vita Optimus, L.L.C. One possible explanation is that repeated trauma or stress to a joint over time – by playing sports, for example – can lead to the condition. Policy, Cleveland Clinic is a non-profit academic medical center. If a large part of the joint is affected, or if pieces of bone and cartilage have already come loose, surgery should be performed. The condition can also occur in other joints, including the shoulder and hip. OCD (osteochondritis dissecans), on the other hand, is considered a chronic process that can go on for months to years before any symptoms are felt. Osteochondritis Dissecans of the Elbow. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. Historically, it is more common in boys than in girls but this may be changing as more girls are playing sports. Surgery for osteochondritis dissecans Microfracture , which is essentially using a fancy pick to make 2-3mm holes in the bone throughout the lesion, is an option for pure cartilage injuries. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. As a result, the small piece of bone and the cartilage covering it … Surgical intervention for osteochondritis dissecans (OCD) has long been recognized as an important aspect of the treatment algorithm. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. Over time, if left untreated, this can lead to damage to the overlying cartilage of the joint. It involves cartilage in the joint and can cause long term symptoms, pain and disability if not diagnosed and treated properly. Common Signs and Symptoms. . Get useful, helpful and relevant health + wellness information. how OCD develops; how the condition causes problems PLEASE READ THE FOLLOWING TERMS OF USE CAREFULLY. All information presented on this website is intended for informational purposes only and not for the purpose of rendering medical advice. When Your Child Has Osteochondritis Dissecans. Surgery can include removing or fixing loose pieces or stimulating the OCD to heal by drilling it with a small wire. Osteochondritis Dissecans Ankle Surgery A professional diagnosis is the first step toward healing. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. Although it can occur from childhood through adult life, the majority of patients are 10 to 20 years of age. 2016 Mar. 32(2):217-21. Males are typically affected twice as often as females, with a higher incidence occurring in young athletes. Any information you submit through this website is not protected by doctor-patient laws and regulations. Osteochondritis Dissecans is a relatively common childhood problem in the knee. This bone and cartilage can then break loose, causing pain and possibly hindering joint motion.Osteochondritis dissecans occurs most often in children and adolescents. Orthop J Sports Med. If the fractured bone has completely detached, it can get caught between joints, causing pain. Osteochondral lesions of the talus can be associated with injury to the ankle. The osteochondritis dissecans has more severe implications for growing children and adolescents. If the lesions are relatively minor, your surgeon will drill into the subchondral bone to encourage the formation of of a cartilage-like scab, which will protect the bone from additional damage. Osteochondritis dissecans can occur in different joints, including the hip and ankle, but 75 percent of cases affect the knee. The first symptoms were pain and restriction of joint movement. does not endorse or recommend any of the participating advertisers. 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